Childhood dementia

Introduction Child-like dementia: full of childishness, learning the tone of young children's speech, claiming to be only 5 years old, everybody will call "uncle" and "auntie", seeing rickets. Separation disorders, also known as separation (conversion) disorders, have been called snoring or hysteria. Separation disorders are a class of mental disorders caused by mental factors acting on susceptible individuals. Some patients showed separate symptoms, and other patients showed various forms of physical symptoms. The symptoms and signs did not conform to the physiological and anatomical features of the nervous system, and lacked the pathological basis of corresponding organic damage.

Cause

The disturbance of consciousness, that is, inhibits the upward activation system of the reticular structure, causes the cerebral cortex to enter a state of inhibition, and de-suppression occurs under the cortex.

Psychological factor

Individual experiences and reactions to stressful life events are important factors in triggering this disease. Infant traumatic experiences may also be an important cause of separation and switching disorders in adulthood. Patients with this condition often have some common personality traits, including: suggestive, performance, self-centered, emotional, and fantasy.

2. Social and cultural factors

The patients with this disease have a relatively low level of education, and most of them live in a closed homogenous cultural environment. Therefore, the degree of education, social culture, and living environment play an important role in the occurrence of barriers to separation and transformation.

3. Biological factors

The results of genetic studies for the separation of conversion disorders are currently inconsistent. Some studies have found that first-degree relatives of patients with isolated conversion disorders have a higher prevalence rate. But some studies have reached the opposite conclusion. Some scholars believe that this disease is a multifactorial genetic disease.

an examination

Related inspection

Brain MRI examination EEG examination

A physical examination can be diagnosed.

The following must exist for the diagnosis:

1. There are clinical features of any type of separation disorder;

2. There is no evidence of a physical disorder that can explain the symptoms;

3. There is evidence of psychological illness, which is clearly linked in time to the relationship between stressful events, problems, or disorders (even if the patient denies this).

Differential diagnosis

(a) snoring

Patients may have hysteria dementia, child-like dementia and Ganser syndrome. The clinical features are sudden dementia-like state of the patient under the influence of mental factors, memory loss, incorrect answers, and even daily life such as dressing pants are wrong. A hundred, that is, giving people the impression that they are seriously damaged by intelligence, or that they express words and manners like a childish child. When they see people, they call "uncle," "uncle," and "aunt." Or the performance gives an approximate answer when answering the question, such as "the person has three feet", "2+2=5", etc., prompting the patient to know the correct answer, this situation is maintained for a short time, after treatment or mental factors The symptoms disappeared quickly after removal.

(2) Reactive mental disorders

The patient develops immediately after intense mental stimulation, showing obvious disturbances of consciousness and stenosis, unable to correctly perceive the surrounding things, hindering the orientation of time, place or character, understanding difficulties, and often accompanied by expression confusion and attention. Distraction, disordered speech, incoherence, making it difficult to understand, the content of its mental symptoms is related to the emotional experience caused by mental factors, and the symptoms disappear quickly when the mental factors are relieved.

(3) Detention response

Double name prison mental illness. In the case of detention, the patient's way of answering the question and its behavior is ridiculous, giving the impression of serious dementia. For example, the patient cannot answer his or her name and age. I don't know how many hands and fingers are involved. And night, left and right, day and night. Sometimes the name is wrong or can not be called out of daily necessities, the reaction is slow, the movement is not flexible, the expression is dull, but when the detention is lifted, the patient is performing normally.

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